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Home My WebLink About20636-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21037 Date SEPTEMBER 21~ 1992 THIS CERTIFIES that the buildin~ Location of Property 2495 VANSTON ROAD House No. County Tax Map No. 1000 Section 111 Subdivision ADDITION CUTCHOGUEr N.Y. Street Hamlet Block 6 Lot 6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY llr 1992 pursuant to which Building Permit No. 20636-Z dated MAY 20~ 1992 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ~his certificate is issued is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A MARK & FRANCES S~UIRES Rev. 1/81 '~ //Bu~'lding Inspector IFOUM' HO. 9 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_-N.° 2063SZ Permission is hereby granted to: ................... .~.~..~ ......... ~0..~. .............. ' ..... ........ ...... ................................... o* premises located o* ........~...~..~.' ........... .~..~..~..'. ....... ~......~ County Tax Map No. 1000 Section ...... ~.~.~. ........... Block ......... ~. ......... Lot No ......... ~...:.~. .... pursuant to application dated .................................................... ...~..././/./.. , 19.~../~.., and approved by the Building Inspector. Fee $.....?..~.. :...~.. /~'euilaing In.q~ector Rev. 6/30/80 Form No. 6 TO%~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. ~- 5. Commercial building, industrial building, multiple residences ~md similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. , 6. Submi. t Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and p -existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $i00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.'Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~-- -- Date New Construction..;~jj[[..[ Old Or Pre-existing Building.~. ~ Location of Proper % q .... ,, House No. Street Ha~et Onwer or Owners of Property ..... ~ %~V~5 ~! ~ ~ ) County Tax Map No 1000, Section. ~}3 ....... Block.. 6 Subdivision ' ' Filed Map Lot Permit No.~ ...... Date Of Permit ................ cant.~ ~~ Appli ....................... Itealth Dept. Approval ......................... · Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. ........ .................... IV'lAp Or L-AND [::~-.:t C. NA I~. D I---J. AT 765-XSOZ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING [~FINAL ~ REMARKS: DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ v/]~INAL REMARKS: FOU~;DATION FOUNDATIO:! 2. ROUGH FRAME & (lst.) (2nd) -PLUMBING INSULATION PER N. STATE ENERGY Ye CODE FI;;AL ADDITIONA'L COMMENTS HA'/I 1 992 xamined . . .,.9"~ ......... · pproved ..../.~..~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 19 .~.~. Permit No .,~...~.~.~.~... isapproved a/c ..................................... · gO ~RD OF HE ~ SURVEY ................... ~CIIECK SEPTIC FOa21 ~tOTiP't: HAIL TO: ~ g Inspector) APPLICATION FOR BUILDING PERMIT Date ...... . ..... 19 .~.~ INSTRUCTIONS ' ' a. Tltis applicatioh must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~re3s, and giving a deta/led description of layout of property must be drawn on the diagram which is part of this appki- Ion. c. Tl~e work covered by this application may not be c'~)mmenced before issuance of Building Permit. d.~ Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 11 be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in wliole or in part for any purpose whatever until a Certificate of Occupancy 11 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the lding Zane Ordinance of the Town of Southold, Suffolk County, New York, ;,nd other applicable Laws, Ordinances or :ulations, for the construction of buqdings, additions or alterations, or for removal or demolition, as herein described. : applicant agree~, to comply with all applicable laws, ordinances, building code, housing code. and regulatd,pns, and to lit authorized inspectors on premises and in building for necessary insp~ns. F) ~ ...... , ....,- ~--~0'~ ~. :/7,..-~...,~.. (S~g;atur~o f applicant, or ' .... r.-,.:. (Mailing address of applicant) :e whether applicant is owner, lessee,,agent architect, engineer, general contractor, electrician, plumber or build s~ ~ gas on the t:r,{: roll or latest deed) )plicant i e of duly mrizcd officer. ,' ( amc and title of corporate officer) Plumber's License No ........... : ............. Other Tr de's Uccn e No. oust Number Street Hamlet ~unty Tax Map No. 1000 Sect o ..... ' ............ Block . ' ........... Lot ...... ~ ..... ~bdiv/sion ..................................... Filed Map No. (Name) .............. Lot ... ~ .~ ...... ate ez~stmg use and OCcupancy o~ prcnnses and mtcnqed usc and occupapcy o~ proposed constrtction' ,: .... 3. ~ ature at work (check which applicable). New Building .......... Repair .............. Removal ', Demolition . Addition ...... (~t'h'e'r Altcratio]'k, .. f ....... .......................... Work.. 4. Estimated Cost. (Description) 5. If dwelling, nu bet of dwelling units ....... f. (to be paid nn filing this application) If garage, number of cars ........ ' .................... ].,... [1 .................. · · .... Numberofdwelingu itso cachfloor ...... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front He - ~t . - .............. Rear .............. Depth .,." . ............. Number al Stories .... /. ............... utmenstons ofsame structure with alterations or additions: Front ................. Rear .................. D.epth H ................... e~gn[ .............. ,, ........ Nnmber of Stories .......... /. .... ~... 8. Dm~cnsion~ of egtire new construction. Front He ~.ht Z / .~?F *,t ..... ' .............. car Death 9. " ........... .,. ,~-),uer at ~,tories ..... ' ....... ~ ............... ~izc of lot: Front ./2~ Rear ".~d ................. 1~,~t~ .... .'~.' ~ ' ' 0. Date of Purchase ............................. Name of Former Owner I. Zone or use district in which premises are situated ........................... ...................... ' " Does proposed construction vio. J~te any zoning law, ordinance or re-ulat]on ...... ,, 3. Wil Iot be re.-raded /U& ' ,- ' : .t. Name of O,vner of premises ~'~.~' ~ ~J;'~,~ "'~- ....... ~Vdl cxce~ lfi}l be rflmovcrJ~fr.,om premises: Yes Namc,-rx h'~ · .,,...,~..~.~ ~./.,~r..a ...... Address .6.~. .~.~.l. lc.¢.tv~r. ./t/~ pl ene N -7%~_w~'/ ., ~. arc.nec ..... ~ ....... ~'/- / · - Addre~ co ~cI-o? ' ' ' ~, o ..... r; ~,~a ..... marne of Contractor [~.~/~/) (~6~ J'-~,--,~- ' 5; ' D' - '>-: · - ~,:..//A'none No... 3. Is this ........ ''--~-i'.''hr~X''-"~'m~'%lt%%''.Address .t:q'.&.o~.(32°.y?Z,';~%, .... ~,, F/-~;'Lt(~4'd .... ~=~cy wxcn~n ~uO feet of a tidal wetland~ *v= ~ ........... 7/'~' ¢'~' ":" "'" .... - · .~s ........ No...~ .... ·If yes, Southold Town Trustees Permit may be required. .... PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, an&indicate all set-back dimensions from roperty lines. Give street and block number or descriptioh according to deed, and show street names and indicate whethe~ :rerior or comer lot. OCCUPANCY API~ROVED AS NOTED , NOTIFY BU:IdDiNG 765-1S02 9 AM ~ 4 PM'FOR THE FOLLOWING INSPE~ONS: ~ , _ //I.~OUNDATION - ~0 REQUIRED ~F J~ ~OR POURED CONCR~ OR 2, ROUGH-FRAMING & PLUMBING ~ 3. INSU~TION USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 4: FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. 'ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGV CODES. NOT RESPONSIBLE FO' D,F.q!GN OR CONSTRUCTION ERROr: being duly sworn, deposes and says that Itc is the applicant : thc ................. ........ (Contractor, agent, corporate officer, etc.) ........ id OWner or owners, and is duly authorized to perform or bare performed the said work and to make and file this cation; that all statements contained in this application arc trnc to thc best oflfis will be perforated in the manner set forth in the application flied therewith, knowledge and belief; and that the :~ to before me this ........ .... ........ ......... FORMER OWNER RES. LAND ~'6 6 o AGE NEW Form Tillable Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot 'Toro IMP. NORMAL Ac re N VL. FARM TOTAL DATE ~ b r~ . , , ...~/~..~,,'~1 BUILDING CONDITION BELOW Value Per Acre ABOVE Value W DISTRICT SUB. ACREAGE ,,4~ ? TYPE OF BUILDING COMM. lIND. CB. MISC. Est. Mkt. Value FRONTAGE ON ROAD FRONTAGE ON WATER ! i ? / ? M. Bldg. ,~t ~' ~,- Z ' Foundation Extension ~X ~ ~ ~9~ Basement F II Extension ~ T R ~ ~ X Ext. Walls Extension ~ ~j~ ~ ~, ~>~ FirePlace ~ ~ Heat ~I~ ( ~ ~ ~ , . , ~J' Porch ' ~f~ ' ~ ~ ~ i~ Rooms 2nd Flor Breezeway ~~ SD Patio Garage ~ ~ ~ I~ ~ Driveway ~.~ ~ j~ Dormer- O;B. /?~ ' Z~/~ ~ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCO'rf L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 SEPTEMBER 16, 1992 DANAP CONSTRUCTION CORP P. O. BOX 632 SA~ILLE, NY I i 782 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing beinG issued after April 1, 1984). BUILDING PERMIT # 20636-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: MARK SQUIRES & WP 'T~/pI[bc